Optiovillage, Inc

LBN: Optiovillage, Inc
Optiovillage, Inc is an health care organization with primary practice located at 630 E Main St , Anoka MN 55303-2527. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Optiovillage, Inc can be contacted via phone (763) 712-1903, or through Peterson, Trenton Jon via phone (763) 712-1903.

Contact Information

Primary practice address
630 E Main St Anoka MN 55303-2527
Phone: (763) 712-1903
Fax: (763) 712-1917
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Trenton Jon MA, LMFT
Phone: (763) 712-1903

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X Minnesota

Profile Details

NPI number 1184002784
LBN Legal business name Optiovillage, Inc
DBA Doing business as
Authorized official Peterson, Trenton Jon MA, LMFT
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2015
Last updated May 14th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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